Agencies
Services
Provider Notice issued 08/17/2023
| Date: | August 17, 2023 |
| To: | Long Term Care Facilities – Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Medically Complex for the Developmentally Disabled Facilities (MC/DD), and Developmental Training Providers |
| Re: | ICF/IID and MC/DD Rate Changes Effective January 1, 2023 |
This notice informs Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs), Medically Complex for the Developmentally Disabled Facilities (MC/DDs), and associated Developmental Training providers that the Department of Healthcare and Family Services (HFS) has received federal approval to implement the rate increases specified in PA 102-0699.
Rate increases include:
·$1.00/hour wage increase for all direct support personnel who are not subject to the Bureau of Labor Statistics’ average wage increases and who work in residential and community day service settings. At least $0.50 of those funds are to be provided as a direct increase to all aide base wages, with the remaining $0.50 to be used flexibly for base wage increases.
·An increase sufficient to provide wages for all residential non-executive direct care staff, excluding aides, at the federal Department of Labor, Bureau of Labor Statistics’ average wage.
·Adjustments to the employee related expenses.
January 1, 2023, rates were entered into the State’s payment system on July 14, 2023. The Department will systematically reprice claims that were paid at lower rates. Vouchers for the payment adjustments will be generated and sent to the Comptroller at the end of August. Providers should expect payment of adjustments within the month. All claims submitted after July 14, 2023, are being priced using the updated rates.
Rate Development on Department of Human Services (DHS) Website:
Information regarding wage rates utilized in the January 1, 2023, rate development can be found on the DHS Division of Developmental Disabilities (DDD) website:
IDHS: DD Rate Tables (state.il.us)
Rates on the HFS Website:
Provider specific per diem rates for ICF/IID and MC/DD providers can be found on the HFS website under Medicaid Reimbursements. In addition to the per diem rates, files are included for day training rates. Following is the link to the specific ICF/IID and MC/DD webpage:
Download Rate Sheets through the Medical Electronic Data Interchange (MEDI):
Individual providers can download rates sheets through the MEDI portal using the following instructions:
1. Login to MEDI.
2. Select Internet Electronic Claims (IEC).
3. Select Download File(s).
4. Choose the “Entity” from the drop down box.
5. Select the file you wish to download from the “Available Files” listed.
6. Enter a “Local Directory Location” (a folder created on your computer or network) to accept the downloaded file.
7. Click “Download Files” button.
8. Go to your designated directory location.
9. Open the downloaded file (recommended program is WordPad).
Please note that the rate increases, and subsequent payment adjustments, include developmental training service rates as well. The payment adjustments for these services will need to be passed on to the appropriate developmental training agency within 10 days as specified in administrative rule at 89 Ill. Admin. Code 140.646(d).
If you have questions, contact the Bureau of Long Term Care toll free at 844-528-8444.
Kelly Cunningham, Administrator
Division of Medical Programs